2026 NPPES data Internal Medicine Physician NPI 1588978795 M.D.
Verify on CMS →

SETAREH BALAZADEH, M.D.

Internal Medicine Physician in NORWICH, Connecticut. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
268
Medicare Part D claims · 84 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
92.6187/100
▲ 10 pts above national avg 83.1 · [object Object]

What the federal data shows

SETAREH BALAZADEH, M.D. reported a CMS MIPS final score of 92.6187/100 — above the 83.1 national average — and filed 268 Medicare Part D claims in 2023.

92.6187/100
MIPS score · +10 vs avg
268
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

SETAREH BALAZADEH, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

93 Top 32% higher than 68% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

SETAREH BALAZADEH, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SETAREH BALAZADEH, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/29/2010

NPI 1588978795

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

268 90% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

92.6187/100 9.51870000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Internal Medicine Physician compares to other specialties among Connecticut providers

Connecticut providers

Internal Medicine Physician share within Connecticut

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Connecticut

Medicare quality performance — MIPS

SETAREH BALAZADEH, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
92.6187/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 92.6187/100 vs national avg 83.1

0%100%National avg83%92.6%
MIPS final score (Internal Medicine Physician) — 92.6187/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SETAREH BALAZADEH, M.D. is a Internal Medicine Physician provider practicing in NORWICH, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1588978795. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SETAREH BALAZADEH, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 326 WASHINGTON ST, NORWICH, CT, 06360, with a listed phone of (860) 889-8331. NPI 1588978795 was issued on 07/29/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALAZADEH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 268 prescription claims written by this provider, covering 84 Medicare beneficiaries and totaling roughly $19K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.6187/100 for the 2023 performance year (Quality 84.1793, Cost 65.2254), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

326 WASHINGTON ST
NORWICH, CT 06360

Provider Details

NPI 1588978795
Specialty Internal Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 07/29/2010

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

92.6187
Final Score
Avg: 83.1
84.1793
Quality
65.2254
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SETAREH BALAZADEH, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MIDDLESEX HOSPITAL
★★★☆☆ 3/5
MIDDLETOWN, CT
Acute Care Hospitals
CMS CCN: 070020
THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY
NEW BRITAIN, CT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

268
Total Claims
$19K
Total Drug Cost
84
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
369
Total Day Supply
9,586
Generic Drug Cost
$4K
Antibiotic Claims
23

Patient Demographics

Average Patient Age
76.4 years
Avg HCC Risk Score
2.13
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
21
Metoprolol Succinate
21
Folic Acid
16
Pantoprazole Sodium
16
Clopidogrel
Clopidogrel Bisulfate
13
Montelukast Sodium
11
Prednisone
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How SETAREH BALAZADEH, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

SETAREH BALAZADEH, M.D.'s 268 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Connecticut

Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as BALAZADEH.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SETAREH BALAZADEH, M.D.'s specialty?
SETAREH BALAZADEH, M.D. specializes in Internal Medicine Physician and practices in NORWICH, Connecticut. Credentials: M.D..
How much does SETAREH BALAZADEH, M.D. prescribe under Medicare Part D?
In 2023, SETAREH BALAZADEH, M.D. wrote 268 Medicare Part D claims totaling $19K in drug costs for 84 beneficiaries.
What is SETAREH BALAZADEH, M.D.'s Medicare quality score?
SETAREH BALAZADEH, M.D. has a CMS MIPS Final Score of 92.6187/100 (Quality: 84.1793, Cost: 65.2254). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SETAREH BALAZADEH, M.D. located?
SETAREH BALAZADEH, M.D. is located at 326 WASHINGTON ST, NORWICH, CT, 06360. Phone: (860) 889-8331.
What is SETAREH BALAZADEH, M.D.'s NPI number?
SETAREH BALAZADEH, M.D.'s National Provider Identifier (NPI) is 1588978795, issued on 07/29/2010.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does SETAREH BALAZADEH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SETAREH BALAZADEH, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Succinate, Folic Acid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SETAREH BALAZADEH, M.D. accept Medicare?
SETAREH BALAZADEH, M.D. appears in CMS Medicare data with 268 Part D claims and 84 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SETAREH BALAZADEH, M.D.'s credentials?
SETAREH BALAZADEH, M.D.'s NPI is 1588978795 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology